Nokea
A nurse is teaching a client how to use an auto-injector as treatment for an allergic reaction. Which statement by the client indicates the need for additional teaching?
- A. I should not touch the orange or black tip on the small end.
- B. I should administer the dose and then call 9-1-1 if I'm alone.
- C. I should inject the black tip into my outer thigh.
- D. I need to massage the site after removing the device.
Correct Answer: B
Rationale: In an emergency, the client should call 9-1-1 before administering the auto-injector to ensure prompt medical assistance.
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A nurse is caring for a client who has recently suffered an acute myocardial infarction. The nurse would closely monitor this client for which of the following that would suggest that the client is developing shock?
- A. Increased blood pressure
- B. Decreased urinary output
- C. Hypoxia
- D. Tachypnea
- E. Bradycardia
Correct Answer: B,C,D
Rationale: Signs of shock include decreased urinary output, hypoxia, and tachypnea due to inadequate tissue perfusion. Increased blood pressure and bradycardia are not typical signs of shock.
After administering dobutamine to a client, the nurse would assess the client closely for which adverse reaction?
- A. Cardiac arrhythmias
- B. Urinary retention
- C. Elevated temperature
- D. Sleeplessness
Correct Answer: A
Rationale: Dobutamine commonly causes cardiac arrhythmias, such as bradycardia or tachycardia, due to its beta-adrenergic stimulation.
Before administering dobutamine to a client, the nurse should assess which of the following?
- A. Blood pressure
- B. Blood glucose
- C. Respiratory rate
- D. Pulse
- E. Level of consciousness
Correct Answer: A,C,D,E
Rationale: Dobutamine administration requires monitoring of blood pressure, respiratory rate, pulse, and level of consciousness to assess cardiovascular and neurological status.
When describing drugs that block or inhibit the sympathetic nervous system, the nurse includes which of the following?
- A. Antiadrenergic drugs
- B. Adrenergic blocking drugs
- C. Adrenergic stimulating drugs
- D. Adrenergic drugs
- E. Sympatholytics
Correct Answer: A,B,E
Rationale: Antiadrenergic drugs, adrenergic blocking drugs, and sympatholytics are terms used to describe medications that inhibit the sympathetic nervous system by blocking its effects.
The nurse administers isoproterenol (Isuprel) to a client. Which of the following would most likely occur?
- A. Decreased heart rate
- B. Increased use of glucose
- C. Decreased gastric motility
- D. Constriction of coronary blood vessels
- E. Wakefulness
Correct Answer: B,C,E
Rationale: Isoproterenol stimulates beta receptors, leading to increased heart rate, increased glucose metabolism, decreased gastric motility, dilation of coronary blood vessels, and wakefulness.